Provider Demographics
NPI:1619098951
Name:KARLBERG, ROSIE M
Entity Type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:M
Last Name:KARLBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4243
Mailing Address - Country:US
Mailing Address - Phone:281-344-8787
Mailing Address - Fax:281-344-9080
Practice Address - Street 1:1104 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-4243
Practice Address - Country:US
Practice Address - Phone:281-344-8787
Practice Address - Fax:281-344-9080
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530094OtherBLUE CROSS BLUE SHIELD
TX1166050001Medicare NSC